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Homestead_Parker (2)
INDIANA SALES DISCLOSURE FORM SDF ID: -- Page 2 D.PREPARER '-' - . . • • • l Bryceann Cutsincter Preporer of the Sales Disclosure Form Title 226 W. Broadway St. Broadway Title. Inc. Address(Number and Street) Company Princeton, IN 47670 812-386-1687 bryceann.bti@mw.twcbc.com City,State,and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S) • Julie K Dewig f)k/a Julie K Talamantes Seller I-Name as appears on conveyance document Seller 2'Name as appears on conveyance document 5656 N Old US Hwy 41 Address(Number and Street) Address(Number and Street) Under penalties of perjury,t hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". rofleller Signature of Seller J ewig OH /ay(aU17 PrUYdR(S)/Gller Sian Date I PROPERTY TAX Printed IDENTIFY J_ Sian Daee tAr /VYYY) F.BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS P Y.. -�.�1 an Parker Baily Parker uyer I'Name as appears on conveyance document Buyer Z-Name as appears on conveyance document • 301 E. Elm St. 301 E. Elm St. APR 2 6 2011 Address(Number and Street) Address(Number and Street) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary I7) ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 5656 N Old US Hwy 41 S.Wind Power Device Address(Number and Street) ❑ 2] 6.Hydroelectric Power Device Hazleton, IN 47640 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.1s this property a residential rental property? III vacated for this residence? If yes,provide ❑ 17I 9.Would you like to receive tax statements for this • complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions for more information. 301 E. Elm St. Not available in all counties.) Address(Number and Street) Haubstadt. IN 47639 Gibson a 6- 0(-1- / a _ 4/00 - cc ?.. ? 7j - we City.State ZIP Code County ----- Primary properly owner contact name E-mail